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Hi. My name is***** I'm sorry to hear about Gisele's situation. I want to make sure I understand things correctly. No antibiotics were started as the Dr. didn't want to start them? What treatment options were they giving? This visit was 2 weeks ago, has she been seen since then?
Ok. So when was she last seen by your vet? Was it there in June?
Is she currently having vaginal discharge at this time?
Alright. I would say that a first thing to consider here is getting her evaluated by another veterinarian at this time. If the first vet didn't recommend antibiotics when she had the previous open pyometra, then it would seem that they wouldn't be offering any more than what has been done to this point. Another veterinarian can do an evaluation on her and see what they feel as far as her surgical status would be. Honestly, they may feel that the "heart irregularities" aren't an issue. They could do an ECG and an echo first to get more information on its function. IF they feel it is of low risk, then they may say getting her into surgery is the step that is needed at this time.
Ok. Financially if surgery isn't an option, then can this respond to more aggressive antibiotic therapy? That is something that could be a possibility. The next best thing then would be a recheck with a vet's office so they can then start her on a broader antibiotic than amoxicillin. At this time, it is good that she's still eating and drinking well. The fact that she's doing this well gives the chance that broadening the antibiotic spectrum may have chance of helping again.
IV antibiotics wouldn't be something that is more helpful. Oral antibiotics can have a spectrum of activity that is very broad too. IV's are a go to when they aren't eating / vomiting. She's eating so orals would be the best. You wouldn't be able to give IV antibiotics at home. I wouldn't personally send home IV antibiotics as that is when things can go wrong.
I'm glad to help in this small way. I'm hoping for the best for this girl.